Individual provider Active NPI

Veronica Julie Staples, O.D.

  • Optometrist
  • Pleasanton, CA
National Provider Identifier
1487624995
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9828TPL Issued in CA
Practice address
3901B Santa Rita Rd
Pleasanton, CA 94588-3462
Phone
(925) 463-2150
Fax
(925) 463-1186
NPI assigned
Jan 25, 2006
Last updated
Jul 11, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9828TPL CA Primary

Addresses

Primary practice location

3901B Santa Rita Rd
Pleasanton, CA 94588-3462

Mailing address

5253 Aspen St
Dublin, CA 94568-7675
Phone (925) 463-2150

Other identifiers 1

IdentifierTypeStateIssuer
SD0009280MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091123000259 CA Practitioner - Optometry 4486793908 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5050 Laguna Blvd
Suite 113
Elk Grove, CA 95758-4151
Phone (916) 684-7070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9828TPLCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Third Optometric Care of California Optometrist Current Accepting new patients
Third Optometric Care of California PC Optometrist CurrentSince Jan 1, 2022 Accepting new patients
Total Vision PC Optometrist CurrentSince Sep 4, 2020 Accepting new patients
Third Optometric Care of California Optometrist CurrentSince Jan 1, 2022 Accepting new patients
Third Optometric Care of California PC Optometrist Past Accepting new patients
Third Optometric Care of California PC Optometrist Past Accepting new patients

Locations

5050 Laguna Blvd
Ste 113
Elk Grove, CA 95758
Phone (916) 684-7070

27271 Las Ramblas
Ste 210
Mission Viejo, CA 92691

6155 Stoneridge Dr
Ste 100
Pleasanton, CA 94588
Phone (925) 463-2150

3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564

400 O St
Ste 102
Sacramento, CA 95814
Phone (916) 443-3524

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1487624995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5253 ASPEN ST",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945687675",
            "telephone_number": "925-463-2150",
            "fax_number": "925-463-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901B SANTA RITA RD",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945883462",
            "telephone_number": "925-463-2150",
            "fax_number": "925-463-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAPLES",
        "first_name": "VERONICA",
        "middle_name": "JULIE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9828TPL",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0009280",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

Verify at the official NPI Registry.